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Evidence-Based Medicine: Principles and Implementation for Effective Healthcare

Explore the principles and implementation of evidence-based medicine for effective healthcare delivery, prioritizing quality and efficiency. Learn about critical analysis for optimal patient outcomes and the integration of research findings into clinical practice.

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Evidence-Based Medicine: Principles and Implementation for Effective Healthcare

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  1. faqtebze dafuZnebuli medicina imedebi da problemebi Victor R. Fuchs Henry J. Kaiser Jr. Professor Emeritus Stanford University Nuffield Trust, London, 12 May 2003

  2. "faqtebze dafuZnebuli medicina warmoadgens gamokvlevebis Sedegad miRebuli saukeTeso codnis (faqtebis), eqimebis klinikuri gamocdilebisa da avadmyofTa prioritetebis integracias."David Sackett et al."faqtebze dafuZnebuli medicina" ("Evidence-Based Medicine")me-2 gamocema, 2000, gv.1

  3. faqtebze dafuZnebuli medicinis mniSvnelobis zrdis mizezebi faqtebze dafuZnebuli medicinis saWiroeba • Tanamedrove medicinis sirTule • Tanamedrove medicinis siZvire faqtebze dafuZnebuli medicinis momxmareblisaTvis miwodebis SesaZlebloba • informaciis SeZenis, Senaxvis, gadamuSavebisa da saWiroebis SemTxvevaSi misi amoRebis saqmeSi siaxleebis danergva, rasac mohyva am procesebis gaiafeba • arsebiTi da meTodologiuri miRwevebi maTematikaSi, statistikasa da qcevis Semswavlel mecnierebebSi. am miRwevebis gamoyeneba SesaZlebeli gaxda jandacvis ukeTesi organizaciisaTvis.

  4. faqtebze dafuZnebuli medicinaimedebi • ufro efeqturi da usafrTxo samedicino Carevebi da manipulaciebi avadmyofTa janmrTelobis gaumjobesebis mizniT; • jandacvis xarisxSi uTanasworobis* Semcireba; … • samedicino xarjebis zrdis Seneleba.

  5. gamokvlevaTa Sedegad miRebuli saukeTeso codna • ras niSnavs "saukeTeso"? • ratom mxolod "saukeTeso"? • SeiZleba "saukeTeso" gaxdes "kargis" mteri? • ra saxis codnas gamoricxavs sityva "gamokvleva"?

  6. klinikuri gamocdileba eqimTa maRali kvalifikacia faqtebze dafuZnebuli medicina ver Secvlis: • daavadebebis klinikuri niSnebisa da simptomebis amocnobis unars, • anamnezis ostaturad Segrovebis xelovnebas, • laboratoruli testebis Sedegebis interpretaciis SesaZleblobasa da • analitikur azrovnebas.

  7. eqimis klinikuri azrovneba "arc savaldebuloa da arc sasurveli, rom yvela eqimi gaxdes statistikosi an analitikosi, magram arsebuli realobidan gamomdinare Cveni mizani unda iyos Semdegi: eqims mivceT sakmarisi codna martivi sakiTxebis gadasaWrelad. amasTanave, eqimma unda icodes, Tu rodis da rogor mimarTos daxmarebisaTvis analitikoss da rogor moaxdinos misgan miRebuli rCevisa Tu informaciis interpretacia". David Eddy , NEJM, 1982

  8. avadmyofTa prioritetebi* • riskis acileba; • drois deficiti; • cxovrebiseuli problemebi an valdebulebebi ("dagegmili" cxovreba); • samsaxurebrivi valdebulebebi; • sxva saxis, arasamedicino momsaxureba; • Semosavali?

  9. "nebismieri efeqturi samedicino Careva yvelasaTvis ufaso unda iyos*." A.L.Cochrane. "Effectiveness and Efficiency: Random Reflections on Health Services". 1972 aris es SesaZlebeli 2003 wels? * bat. koxreinis am postulats mravali mowinaaRmdege hyavs. isini amboben, rom ufaso samedicino daxmareba iwvevs misi momxmareblebis raodenobis zrdas, rasac saboloo jamSi mohyveba saxelmwifos mier jandacvaze gamoyofili saxsrebis katastrofuli zrda (mTar. SeniSvna).

  10. "zogadad sazogadoebas aqvs garkveuli azri imaze, Tu romeli samedicino xarjebi unda daifaros sazogadoebrivi fondebidan, magaliTad, qimioTerapia Tu qirurgiuli operacia da mravali adamianisaTvis es azri misaRebia, magram roca saqme exeba individualur pacientebs, maSin mxedvelobaSi unda iqnes miRebuli maTi Rirebulebebi da prioritetebi". David Sackett et al."faqtebze dafuZnebuli medicina" ("Evidence-Based Medicine")me-2 gamocema, 2000, gv. 180

  11. faqtebze dafuZnebuli medicina da samedicino xarjebi SeuZlia Tu ara faqtebze dafuZnebul medicinas daamuxruWos samedicino xarjebis zrda? diax – is SezRudavs araefeqturi Carevebis gamoyenebas; diax – is dagvanaxebs, rom zogierTi SedarebiT iafi Careva iseTive efeqturia, rogorc misi Zviri alternativa; ara – is dagvanaxebs, rom siZviris miuxedavad zogierTi Careva sjobs sxva ufro iaf Carevebs. faqtebze dafuZnebuli medicinis potencialis sruli realizaciisaTvis aucilebelia misi SeuRleba xarjebisa da Sedegebis analizTan (Cost benefit analysis).

  12. daskvnebi medicinaSi gadawyvetilebebis miRebis TvalsazrisiT faqtebze dafuZnebuli medicinis warmoSoba da ganviTareba mniSvnelovani win gadadgmuli nabijia, radgan aSkaraa misi upiratesoba Tvisobriv, araraodenobriv SefasebebTan SedarebiT; Tanamedrove medicinis sirTulem da siZvirem moitana gaxada faqtebze dafuZnebuli medicinis saWiroeba, xolo mecnierebis sxva dargebSi momxdarma cvlilebebma SesaZlebeli gaxada misi Seqmna da gamoyeneba. faqtebze dafuZnebuli medicinis principebis danergvas unda mohyves jandacvis xarisxis gaumjobeseba da gaTanabreba, aseve misi ekonomikuri efeqturobis (rentabelobis) gazrda;

  13. leqciis Sefaseba Tqveni Sefasebebi Zalian mniSvnelovania superkursis Semdgomi ganviTarebisaTvis. gTxovT SeavsoT leqciis bolo gverdze (review) moyvanili forma da daaWiroT submit button-s. Tu inglisuri ena giqmniT problemas, gamoagzavneT Tqveni komentarebi Semdeg misamarTze: malkhaz_j@hotmail.com

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